My VSG surgery is on Nov 19, so I haven't started yet.  However, i have researched my options for years and was never really sold on any of them until I learned of the VSG.  I am choosing this procedure because lap band patients tend to have more complications after surgery with slippage, erosion.  I read that the band itself is meant to be permanent and will last a lifetime, however our bodies can't stand it for long lengths of time.  Plus, the thought of fills, unfills, sliming, just grossed me out.  RNY was out because I am a big chicken about the whole malabsorption thing, it just didn't pass my common sense test.  But, that was just me, I have a good friend who lost 200 pounds with RNY and looks fantastic. 

VSG has it's risks too, the biggest one is the chance of a leak.  And these are less than 1% chance however,  Leaks can be fatal.  And, the staple line on a VSG is longer than RNY so, the area of the stomach that has a potential for leak is physically bigger.  Other than that though, there are not many complications.   the VSG has been shown to be just as effective for rapid weight loss comparible to RNY.  If your decision is going to be based on whether or not insurance will pay, most insurance companies will not pay for VSG.  Hence, I will be shelling out $16K to have this done.  But, it is the only surgery I am comfortable with.  VSG is as effective as RNY, is a less invasive surgery, mortality is very low and definitely lower than RNY, and it is rumored to be the up and coming top recommended surgery for Weight loss. 

You can gain weight back with ANY of these surgeries - RNY, Lap Band or VSG.  They all have their pros and cons and they all require dedication.  They all have a honeymoon period where the weight loss is easier and after that it will require more dedication.

The VSG is gaining recognition as a safer and successful alternative to the RNY. 

Do your research on the surgeries and pick the one that is right for you.

I also have RA and my first 3 weeks were hell. Also needed to frequently use a walker because my knee was soooo bad. But after two weeks of misery my surgeon ok'd my return to methotrexate. Then my rheumatologist prescribed low dose prednisone. The surgeon agreed with the provision that I take prilosec and call him with any reflux or burning. By 5 weeks out I was in the gym doing 30 minutes on the bike and doing walk aerobics at home. I still have some occasional flair ups, but they don't last long.

Hang in there. Talk to your rheumatologist and the surgeon. You don't have to continue to suffer.

 It is so good to hear from others with RA.  I thought for a while there maybe I was alone.  I am having my RNY on December 2.  I am in so much pain already that I can barely move.  I will be on the lookout for worse flair ups after the surgery though thanks to your info on here.  Best of luck to everyone who deals with this painful and debilitating condition.

You have to give this time.  I don't think it is unusual to be depressed after major surgery.  You did after all have to show all of those co-morbidity factors.  I think that it is wonderful that you lost 50 lbs!  At least the surgery was successful.  You have to focus on the positives in your life.  Your job may not be one of them.  Lastly, of all your doctor consults, perhaps the most important one is the pain management specialist.  While you are feeling like this, don't be a martyr.  This is very real for you and it needs to be addressed professionally, IMO.